OR Certification Exempting a Manufactured Structure from Title and Registration 1

CERTIFICATION EXEMPTING A MANUFACTURED STRUCTURE FROM TITLE AND REGISTRATION

For new (MCO) or never-titled-in-Oregon structures only.

INSTRUCTIONS:

1)Prepare two duplicate originals;

2)Complete all areas of the form and sign before notary

3)Provide duplicate original certification to the county recorder where located;

4)Surrender the Manufacturer's Certificate of Origin (MCO) or Out-of-State Title to DMV;

5)Mail to: DMV Title Exemption Desk, 1905 Lana Ave., NE, Salem, Oregon 97314; and

6)Furnish a copy to the county tax collector.

(For County Use) After recording return to:

____________________________________

____________________________________

____________________________________

____________________________________

Legal description of manufactured structure

Year Make Style Vehicle Identification Number (VIN) WidthLength

____ ____ ____ _____________________________ _____ ______

Legal description and street address of real property:

______________________________________

___________________________________________________________

___________________________________________________________

Tax Account Number for Real Property:

_____________________________________

Printed Name of Owner(s) ODL/ID/Customer# Date of Birth Telephone #

________________________ _______________ __________ ( ___ ) _______

Printed Name of Owner(s) ODL/ID/Customer# Date of Birth Telephone#

________________________ _______________ __________ ( ___ ) _______

Residence Address (Street, City, State, Zip Code)

________________________________________________________________________

Mailing Address (Street, City, State, Zip Code)

________________________________________________________________________

Security Interest Holder Name and Address

________________________________________________________________________

Security Interest Holder Name and Address

________________________________________________________________________

CERTIFICATIONS

I certify that in accordance with ORS 820.510:

• The same person owns the manufactured structure and the real property on which the manufactured structure is or will be situated;
  
• The manufactured structure is or will be affixed to the real property and subject to taxation by the county in which it is located as an improvement to the real property;
  
• Each person with a security interest in the manufactured structure and each person with a security interest in the real property approves the exemption from registration and titling; and
  
• A duplicate original of the certification is being submitted for recording to the county clerk for the county in which the real property is located.

Signature of Owner

x ____________________________________________________

Signature of Owner

x ____________________________________________________

Subscribed, sworn and acknowledged before me this ______ day of _______, ________,

DayMonthYear

By _______________________________________ in the county of ______________________.

Printed Name of Person Signing AboveCounty

Notary

x _______________________________

Signature of Notary Public

My commission expires ________________________